P&P, Paid & Penalized

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HospitalCHRISTUS Mother Frances Hospital Estimated FY2026 net: −$511K×

Hospital record · FY2026CCN 450102

1Hospital

CHRISTUS Mother Frances Hospital

2Location

Tyler, TX (Texas’s hospitals on the map and in the table) 75701

Smith County

3Type

Minor teaching · 337 beds · Nonprofit · Urban · Rural referral center

4Care Compare stars

4 of 5 stars

Overall rating, CMS Care Compare data of July 22, 2026
Open on Care Compare (opens in a new tab)

5Total HAC Score

−0.2100

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $1.1M, likely $932K⁠–⁠$1.2M estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of −0.2100 for CHRISTUS Mother Frances Hospital and a payment reduction decision of No.

A cut would have taken about $1.1M estimate 1% of about $114M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year plus the teaching payments Medicare makes on its Medicare Advantage patients’ stays. Its score was 0.5899 under 0.3799, the lowest score CMS cut.

Likely range $932K–$1.2M

Its score was at or below CMS’s line, so this program did not cut its Medicare payments for the year. The score compares hospitals with each other; it is not a grade of the quality of care.

CMS cut scores of 0.3799 and above.

Each year CMS cuts the hospitals with the highest quarter of scores, those above the 75th percentile, so the line moves with other hospitals’ scores.

highest 2.3133 1% cut Middle hospital: −0.0453 Middle hospital−0.0453 CMS’s line: 0.3799 and up CMS’s line0.3799 and up This hospital: −0.2100 This hospital −0.2100 lowest −1.4728 highest 2.3133 1% cut Middle hospital: −0.0453 Middle hospital−0.0453 CMS’s line: 0.3799 and up CMS’s line0.3799 and up This hospital: −0.2100 This hospital −0.2100

Higher than 38% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 1 of 11 years

  1. 15No
  2. 16No
  3. 17No
  4. 18No
  5. 19No
  6. 20No
  7. 21No
  8. 22Cut
  9. 23—
  10. 24No
  11. 25No
  12. 26No

Where the score came from

CMS scored this hospital on all 6 measures. On every measure a lower value is better. Each row puts the hospital among every hospital with a value: the gray columns are those hospitals, the tall tick is the national median, and the hatched ends score the same as CMS’s floor or cap.

Bringing CLABSI down to the national median (0.559) would lower the score the most: by 0.2428, to −0.4528. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 1; CLABSI added the most to its score.
  • This hospital
  • National median
  • Scores the same as CMS’s floor or cap
  1. PSI 90 (what it counts)

    Safety problems such as serious bedsores, falls that break a bone and blood clots after surgery, found by CMS in traditional Medicare claims. A value of 1 matches the national composite value.

    Patient safety and adverse events composite

    Better than 88% of the other 2,808 hospitals

    estimate

    This site recomputes this measure’s z‑score from CMS’s published value. The recompute can differ from CMS’s z‑score by up to 0.0021. How this site estimates

    CMS value0.8365

    Z-score−1.0612

    Part of score−0.1769

  2. CLABSI (what it counts)

    Bloodstream infections tied to a central line, a tube often placed in a large vein in the neck, chest or groin. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    added the most

    Central line–associated bloodstream infections

    Worse than 88% of the other 2,181 hospitals

    CMS value1.187

    Z-score1.3471

    Part of score+0.2245

  3. CAUTI (what it counts)

    Urinary tract infections that start from a urinary catheter, a tube that drains the bladder. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Catheter-associated urinary tract infections

    Better than 58% of the other 2,354 hospitals

    CMS value0.414

    Z-score−0.3207

    Part of score−0.0535

  4. SSI (what it counts)

    Deep infections at the site of colon surgery or an abdominal hysterectomy, within a month of the operation, pooled into one measure. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Surgical site infections after colon surgery or abdominal hysterectomy

    Better than 66% of the other 2,269 hospitals

    CMS value0.557

    Z-score−0.5023

    Part of score−0.0837

  5. CDI (what it counts)

    C. diff infections, which cause diarrhea and inflammation of the colon, found by a lab test and starting in the hospital. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Clostridioides difficile (C. diff) infections

    Better than 61% of the other 2,766 hospitals

    estimate

    This site recomputes this measure’s z‑score from CMS’s published value. The recompute can differ from CMS’s z‑score by up to 0.0071. How this site estimates

    CMS value0.271

    Z-score−0.4128

    Part of score−0.0688

  6. MRSA (what it counts)

    Bloodstream infections with MRSA, a germ that resists several antibiotics, found by a lab test and starting in the hospital. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    MRSA bloodstream infections

    Better than 58% of the other 2,067 hospitals

    CMS value0.549

    Z-score−0.3099

    Part of score−0.0517

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 900.83650.9623−1.0612−0.1769Better than 88% of the other 2,808 hospitals
CLABSI1.1870.5591.3471+0.2245Worse than 88% of the other 2,181 hospitals
CAUTI0.4140.489−0.3207−0.0535Better than 58% of the other 2,354 hospitals
SSI0.5570.795−0.5023−0.0837Better than 66% of the other 2,269 hospitals
CDI0.2710.346−0.4128−0.0688Better than 61% of the other 2,766 hospitals
MRSA0.5490.641−0.3099−0.0517Better than 58% of the other 2,067 hospitals

How the parts add up

CMS adds the z‑scores and divides by the number of measures scored, so each measure counts the same. Each bar below is one z‑score divided by 6; a bar right of zero raised the score and one left of zero lowered it.

(−1.0612PSI 90+1.3471CLABSI−0.3207CAUTI−0.5023SSI−0.4128CDI−0.3099MRSA)÷6measures=−0.2100Total HAC Score

Added from the rounded z‑scores CMS published, the parts make −0.2100; CMS reports −0.2100. The small difference is rounding.

This hospital’s score is 0.5899 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to −0.2100, below CMS’s line.
1% cut PSI 90: z‑score −1.0612 divided by 6 = −0.1769PSI 90−0.1769 CLABSI: z‑score 1.3471 divided by 6 = +0.2245CLABSI+0.2245 CAUTI: z‑score −0.3207 divided by 6 = −0.0535CAUTI−0.0535 SSI: z‑score −0.5023 divided by 6 = −0.0837SSI−0.0837 CDI: z‑score −0.4128 divided by 6 = −0.0688CDI−0.0688 MRSA: z‑score −0.3099 divided by 6 = −0.0517MRSA−0.0517 Total HAC Score: −0.2100Score−0.2100 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.2−0.10.00.10.20.30.4 1% cut PSI 90: z‑score −1.0612 divided by 6 = −0.1769PSI 90−0.1769 CLABSI: z‑score 1.3471 divided by 6 = +0.2245CLABSI+0.2245 CAUTI: z‑score −0.3207 divided by 6 = −0.0535CAUTI−0.0535 SSI: z‑score −0.5023 divided by 6 = −0.0837SSI−0.0837 CDI: z‑score −0.4128 divided by 6 = −0.0688CDI−0.0688 MRSA: z‑score −0.3099 divided by 6 = −0.0517MRSA−0.0517 Total HAC Score: −0.2100Score−0.2100 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.2−0.10.00.10.20.30.4

This site recomputes · Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
MeasureZ-scorePart of the scoreRunning total
PSI 90−1.0612−0.1769−0.1769
CLABSI1.3471+0.22450.0476
CAUTI−0.3207−0.0535−0.0059
SSI−0.5023−0.0837−0.0896
CDI−0.4128−0.0688−0.1584
MRSA−0.3099−0.0517−0.2101
Total HAC Score−0.2100
CMS’s line0.37920.3799

The money is a cliff

This program’s cut doesn’t grow with the score. Over CMS’s line, CMS cuts 1% of what traditional Medicare pays a hospital for inpatient stays that year, and of the teaching payments Medicare makes on its Medicare Advantage stays; at or under the line, this program cuts nothing.

The chart draws what the cut would be for this hospital at any Total HAC Score, from this site’s estimate of its payments, with its own score marked.

Figure 3. The cut is a cliff, not a slope: this hospital’s score, 0.5899 under the lowest score CMS cut, costs it nothing; 0.5899 higher, the cut would have been about $1.1M by this site’s estimate, the same as at CMS’s highest score, 2.3133.
CMS’s line $0 at any score up to 0.3792 $1.1M at any score from 0.3799 $0at any score up to 0.3792 $1.1M at any score from 0.3799 −1012 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: −0.2100 This hospital −0.2100 CMS’s line $0 at any score up to 0.3792 $1.1M at any score from 0.3799 $0at any score up to 0.3792 $1.1Mat any score from 0.3799 −1.0−0.50.00.51.01.52.0 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: −0.2100 This hospital −0.2100

Under the axis, every Total HAC Score CMS published: 306 of the 2,929 scored within 0.1 of CMS’s line, on one side or the other.

Estimate · Source: this site’s arithmetic on CMS’s FY2026 IPPS final rule files (the impact file, the rate tables and the value-based factors), its FY2026 HRRP supplemental file and HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
ScoreTotal HAC ScoreEstimated HAC cut (whole dollars)
Any score up to 0.37920.3792$0
Any score from 0.37990.3799−$1,144,934
This hospital−0.2100$0
CMS’s highest score2.3133−$1,144,934

The money, line by line

This site estimates what traditional Medicare pays the hospital for a year of inpatient stays, and the teaching payments Medicare makes on its Medicare Advantage patients’ stays, from CMS’s FY2026 payment files, then applies Medicare’s three hospital quality programs: the readmissions and value-based adjustments to the base payment, and the HAC cut last, as the law sets.

The readmissions and value-based programs adjust only the base payment: the DRG rates times the hospital’s cases, and a Medicare-dependent hospital’s add-on. The HAC cut comes last and takes 1% of everything left, teaching, low-income-patient, outlier, capital and uncompensated care payments included.

($114,695,910payment+$308,608teaching, MA stays+$0readmissions−$511,146value-based)×1%the cut=$1,144,934at stake

$1,144,934at stake÷6,719traditional Medicare stays=$170per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $1.1M by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to $0 and −$511K.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays, and for teaching on Medicare Advantage stays
DRG payments at the federal rates the base $88,922,030
Teaching (indirect medical education) $256,985
Teaching on Medicare Advantage stays $308,608
Many low-income patients (disproportionate share) $2,715,679
Outliers: unusually costly stays $987,924
Capital: buildings and equipment $7,351,178
Uncompensated care $14,462,114
Total, before the three programs $115,004,518
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (1.0000 − 1) $0
Value-based purchasing (HVBP) base × (0.9943 − 1) −$511,146
After these two $114,493,372
HAC Reduction Program no cut; 1% would have been $1,144,934 $0
Net of the three programs likely −$560K to −$442K −$511,146

Not paid to this hospital: a Medicare-dependent hospital add-on, a sole community hospital rate difference, and a low-volume adjustment.

Whole dollars, so every line adds up; the estimate is not that precise. Each likely range spans the middle 80% of the misses this site’s estimate made for similar hospitals (or for a wider group, where there were too few) when it was checked against their FY2024 cost reports: one year’s check, not a promise of how often a hospital’s actual figure lands inside.

Estimate · Source: this site’s arithmetic on CMS’s FY2026 IPPS final rule files (the impact file, the rate tables and the value-based factors), its FY2026 HRRP supplemental file and HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
LineAmount (whole dollars)
DRG payments at the federal rates (the base)$88,922,030
Teaching (indirect medical education)$256,985
Teaching on Medicare Advantage stays$308,608
Many low-income patients (disproportionate share)$2,715,679
Outliers: unusually costly stays$987,924
Capital: buildings and equipment$7,351,178
Uncompensated care$14,462,114
Total, before the three programs$115,004,518
Readmissions (HRRP) (base × (1.0000 − 1))$0
Value-based purchasing (HVBP) (base × (0.9943 − 1))−$511,146
After these two$114,493,372
HAC Reduction Program (no cut; 1% would have been $1,144,934)$0
Net of the three programs (likely −$560K to −$442K)−$511,146

What if a measure were different?

Change a measure’s value to see how this site recomputes the Total HAC Score, the payment reduction decision and, by its estimate, the money, starting from CMS’s values. The money doesn’t slide with the score: it drops off a cliff at CMS’s line.

The what-if needs JavaScript. Without it, the values below stay as they are.

Show table
CMS reportsHypothetical
Total HAC Score−0.2100same
Payment reduction decisionNosame
Payment cut0%same
Estimated HAC cut estimate$0same

CMS’s line: between 0.3792 and 0.3799

The faint ticks are CMS’s line in earlier years under the same formula, from about 0.300 (FY2022) to about 0.375 (FY2024). The line moves every year, so a hospital can cross it without changing anything.

CMS reports a Total HAC Score of −0.2100 and a payment reduction decision of No.

A what-if shows the formula’s arithmetic, not what a hospital could realistically change or how. CMS’s real result also depends on other hospitals.

How much cushion?

Staying at or under CMS’s line keeps about $1.1M out of this program’s cut, this site estimates: a score a hair over would cost all of it.

From CMS’s values, one measure at a time, with every other measure held at CMS’s value.

MeasureHighest value that keeps No
PSI 90up to 1.3427
CLABSIany value: every CLABSI value past the cap (1.572) scores the same
CAUTIany value: every CAUTI value past the cap (1.537) scores the same
SSIany value: every SSI value past the cap (2.118) scores the same
CDIany value: every CDI value past the cap (0.944) scores the same
MRSAany value: every MRSA value past the cap (1.762) scores the same

Each measure weighs 1 ÷ 6 of the score.

Measure values

SIR 1.0 = as many infections as predicted · Lower is better

On each track the tick is the national median; shaded values score the same as the floor or cap, as this site fits them to CMS’s values.

CMS 0.8365 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 1.187 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.414 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 0.557 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.271 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.549 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. CLABSI added the most to this hospital’s Total HAC Score of −0.2100 among its measured results: +0.2245.
  • PSI 90 −0.1769
  • CLABSI +0.2245
  • CAUTI −0.0535
  • SSI −0.0837
  • CDI −0.0688
  • MRSA −0.0517

A measure adds its z‑score divided by 6, the number of measures scored. Bars right of the center line raise the score. Hatched: assigned by CMS.

This site recomputes · Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
MeasureZ-scorePart of the scoreHypothetical
PSI 90−1.0612−0.1769same
CLABSI1.3471+0.2245same
CAUTI−0.3207−0.0535same
SSI−0.5023−0.0837same
CDI−0.4128−0.0688same
MRSA−0.3099−0.0517same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/450102/

Among hospitals with a Yes or No payment decision, CMS cut those with a published Total HAC Score of 0.3799 or higher and none at 0.3792 or lower. Maryland’s hospitals are scored but not subject to the reduction.

Held fixed: every other hospital’s results, CMS’s line, and each measure’s mean, spread, floor and cap as this site fits them to CMS’s published values.

Year by year

Where this hospital’s score fell among every hospital’s, each year CMS published one. A score near the top is among the highest; the shaded band is where CMS cut. Places compare across years even where CMS changed how it builds the score.

Figure 6. CMS cut this hospital in 1 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 4.2500, higher than 29% of scores; not cutFY2016: score 3.5000, higher than 16% of scores; not cutFY2017: score 4.5100, higher than 33% of scores; not cutFY2018: score −0.3388, higher than 28% of scores; not cutFY2019: score −0.1499, higher than 40% of scores; not cutFY2020: score −0.4644, higher than 21% of scores; not cutFY2021: score −0.0645, higher than 46% of scores; not cutFY2022: score 0.4254, higher than 80% of scores; cutFY2024: score 0.1447, higher than 62% of scores; not cutFY2025: score −0.0780, higher than 46% of scores; not cutFY2026: score −0.2100, higher than 38% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 4.2500, higher than 29% of scores; not cutFY2016: score 3.5000, higher than 16% of scores; not cutFY2017: score 4.5100, higher than 33% of scores; not cutFY2018: score −0.3388, higher than 28% of scores; not cutFY2019: score −0.1499, higher than 40% of scores; not cutFY2020: score −0.4644, higher than 21% of scores; not cutFY2021: score −0.0645, higher than 46% of scores; not cutFY2022: score 0.4254, higher than 80% of scores; cutFY2024: score 0.1447, higher than 62% of scores; not cutFY2025: score −0.0780, higher than 46% of scores; not cutFY2026: score −0.2100, higher than 38% of scores; not cut 151617181920212223242526

● Red: a year CMS cut it ○ Hollow: a year it didn’t

This site recomputes · Source: CMS, HACRP hospital files for fiscal years 2015 to 2026 (Provider Data Catalog, its archives and, for the oldest years, the Internet Archive’s copies), and CMS’s cut lists for FY2015 and FY2016.

Show table
Fiscal yearTotal HAC ScoreHigher than this share of scoresPayment reduction
FY20154.250029.8%not cut
FY20163.500016.7%not cut
FY20174.510033.4%not cut
FY2018−0.338828.9%not cut
FY2019−0.149940.8%not cut
FY2020−0.464421.7%not cut
FY2021−0.064546.9%not cut
FY20220.425480.6%cut
FY2023no decision
FY20240.144762.7%not cut
FY2025−0.078046.9%not cut
FY2026−0.210038.0%not cut

Its infections, year by year

This hospital’s infection rate against prediction for each calendar year Care Compare published one, on each measure with at least two years of results (black), over the nation’s middle hospital (gray). Below the dashed line at one, fewer infections than predicted. Each year is measured against the same fixed baseline, not against other hospitals, so unlike the score they can all improve at once.

Figure 7. 3 of its 6 infection measures ended lower than they started.
CLABSI 0.60 → 1.26 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.602CLABSI, 2018: 0.262CLABSI, 2019: 1.007CLABSI, 2021: 1.821CLABSI, 2022: 1.554CLABSI, 2023: 1.114CLABSI, 2024: 1.257 CAUTI 0.81 → 0.19 1 0 ’18’21’24 CAUTI, 2017: 0.815CAUTI, 2018: 1.318CAUTI, 2019: 1.062CAUTI, 2021: 1.990CAUTI, 2022: 0.903CAUTI, 2023: 0.632CAUTI, 2024: 0.192 SSI, colon 0.24 → 0.27 1 0 ’18’21’24 SSI, colon, 2017: 0.236SSI, colon, 2018: 0.239SSI, colon, 2019: 0.881SSI, colon, 2021: 0.405SSI, colon, 2022: 0.910SSI, colon, 2023: 0.674SSI, colon, 2024: 0.270 SSI, hysterectomy 0.36 → 1.18 1 0 ’18’21’24 SSI, hysterectomy, 2017: 0.358SSI, hysterectomy, 2018: 0.633SSI, hysterectomy, 2019: 1.360SSI, hysterectomy, 2021: 0.647SSI, hysterectomy, 2022: 3.628SSI, hysterectomy, 2023: 1.522SSI, hysterectomy, 2024: 1.181 MRSA 0.94 → 0.77 1 0 ’18’21’24 MRSA, 2017: 0.938MRSA, 2018: 0.268MRSA, 2019: 2.245MRSA, 2021: 1.337MRSA, 2022: 0.947MRSA, 2023: 0.294MRSA, 2024: 0.773 C. diff 0.80 → 0.25 1 0 ’18’21’24 C. diff, 2017: 0.798C. diff, 2018: 0.410C. diff, 2019: 0.578C. diff, 2021: 0.373C. diff, 2022: 0.388C. diff, 2023: 0.288C. diff, 2024: 0.247 CLABSI 0.60 → 1.26 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.602CLABSI, 2018: 0.262CLABSI, 2019: 1.007CLABSI, 2021: 1.821CLABSI, 2022: 1.554CLABSI, 2023: 1.114CLABSI, 2024: 1.257 CAUTI 0.81 → 0.19 1 0 ’18’20’22’24 CAUTI, 2017: 0.815CAUTI, 2018: 1.318CAUTI, 2019: 1.062CAUTI, 2021: 1.990CAUTI, 2022: 0.903CAUTI, 2023: 0.632CAUTI, 2024: 0.192 SSI, colon 0.24 → 0.27 1 0 ’18’20’22’24 SSI, colon, 2017: 0.236SSI, colon, 2018: 0.239SSI, colon, 2019: 0.881SSI, colon, 2021: 0.405SSI, colon, 2022: 0.910SSI, colon, 2023: 0.674SSI, colon, 2024: 0.270 SSI, hysterectomy 0.36 → 1.18 1 0 ’18’20’22’24 SSI, hysterectomy, 2017: 0.358SSI, hysterectomy, 2018: 0.633SSI, hysterectomy, 2019: 1.360SSI, hysterectomy, 2021: 0.647SSI, hysterectomy, 2022: 3.628SSI, hysterectomy, 2023: 1.522SSI, hysterectomy, 2024: 1.181 MRSA 0.94 → 0.77 1 0 ’18’20’22’24 MRSA, 2017: 0.938MRSA, 2018: 0.268MRSA, 2019: 2.245MRSA, 2021: 1.337MRSA, 2022: 0.947MRSA, 2023: 0.294MRSA, 2024: 0.773 C. diff 0.80 → 0.25 1 0 ’18’20’22’24 C. diff, 2017: 0.798C. diff, 2018: 0.410C. diff, 2019: 0.578C. diff, 2021: 0.373C. diff, 2022: 0.388C. diff, 2023: 0.288C. diff, 2024: 0.247

Source: CMS Care Compare, healthcare-associated infections by hospital, calendar years 2017 to 2024 (Provider Data Catalog archives; the oldest year through the Internet Archive’s copy).

Show table
Calendar yearCLABSICAUTISSI, colonSSI, hysterectomyMRSAC. diff
20170.6020.8150.2360.3580.9380.798
20180.2621.3180.2390.6330.2680.410
20191.0071.0620.8811.3602.2450.578
20211.8211.9900.4050.6471.3370.373
20221.5540.9030.9103.6280.9470.388
20231.1140.6320.6741.5220.2940.288
20241.2570.1920.2701.1810.7730.247

Among hospitals like it

Each row is a group this hospital belongs to, drawn from every hospital in it with a payment decision. Red columns are hospitals past CMS’s line, the ones CMS cut; the short tick is the group’s middle score.

In Texas, its score is higher than 53% of the other 254 scored there.

Figure 8. Its score is above the middle in 1 of the 7 groups it belongs to; the share cut runs from 13% (Texas) to 26% (Nonprofit).
All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals 2,886 hospitals25% cut South region: CMS cut 263 of 1,174 (22%); middle score −0.1056South region 1,174 hospitals22% cut Texas: CMS cut 32 of 255 (13%); middle score −0.2368Texas 255 hospitals13% cut Minor teaching: CMS cut 181 of 873 (21%); middle score −0.0567Minor teaching 873 hospitals21% cut 300 to 499 beds: CMS cut 113 of 523 (22%); middle score −0.0384300 to 499 beds 523 hospitals22% cut Nonprofit: CMS cut 478 of 1,830 (26%); middle score −0.0134Nonprofit 1,830 hospitals26% cut Urban: CMS cut 510 of 2,241 (23%); middle score −0.0574Urban 2,241 hospitals23% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1012 This hospital: −0.2100 This hospital −0.2100 All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals2,886 hospitals25% cut South region: CMS cut 263 of 1,174 (22%); middle score −0.1056South region1,174 hospitals22% cut Texas: CMS cut 32 of 255 (13%); middle score −0.2368Texas255 hospitals13% cut Minor teaching: CMS cut 181 of 873 (21%); middle score −0.0567Minor teaching873 hospitals21% cut 300 to 499 beds: CMS cut 113 of 523 (22%); middle score −0.0384300 to 499 beds523 hospitals22% cut Nonprofit: CMS cut 478 of 1,830 (26%); middle score −0.0134Nonprofit1,830 hospitals26% cut Urban: CMS cut 510 of 2,241 (23%); middle score −0.0574Urban2,241 hospitals23% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1.5−1.0−0.50.00.51.01.52.0 This hospital: −0.2100 This hospital −0.2100

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
GroupWith a decisionHospitals cutShare cutMiddle scoreHospital higher than
All hospitals2,88671825%−0.045338%
South region1,17426322%−0.105642%
Texas2553213%−0.236853%
Minor teaching87318121%−0.056736%
300 to 499 beds52311322%−0.038436%
Nonprofit1,83047826%−0.013435%
Urban2,24151023%−0.057438%
This hospital−0.2100
CMS’s line0.37920.3799

The nearest hospitals

The 8 closest hospitals with a Total HAC Score, in a straight line. The squares are each hospital’s measures in order: filled, above the national median; open, at or below it; hatched, assigned by CMS; blank, not scored.

Figure 9. CMS cut none of the 8 nearest hospitals; the closest is less than a mile away.
5 mi10 mi25 mi8. Longview Regional Medical Center, Longview: score −0.6466, not cut, 35 miles87. CHRISTUS Good Shepherd Medical Center, Longview: score −0.5663, not cut, 35 miles76. UT Health East Texas Athens Hospital, Athens: score 0.0954, not cut, 34 miles65. UT Health East Texas Henderson Hospital, Henderson: score −0.4306, not cut, 32 miles54. UT Health East Texas Jacksonville Hospital, Jacksonville: score −0.4424, not cut, 26 miles43. University of Texas Health Science Center at Tyler, Tyler: score −0.8903, not cut, 7 miles32. Baylor Scott & White Texas Spine & Joint Hospital, Tyler: score −0.9572, not cut, less than a mile21. UT Health East Texas Tyler Regional Hospital, Tyler: score 0.2332, not cut, less than a mile1This hospital: CHRISTUS Mother Frances Hospital

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
HospitalMilesScoreDecision
UT Health East Texas Tyler Regional Hospital, Tyler, TXunder 10.2332not cut
Baylor Scott & White Texas Spine & Joint Hospital, Tyler, TXunder 1−0.9572not cut
University of Texas Health Science Center at Tyler, Tyler, TX7−0.8903not cut
UT Health East Texas Jacksonville Hospital, Jacksonville, TX26−0.4424not cut
UT Health East Texas Henderson Hospital, Henderson, TX32−0.4306not cut
UT Health East Texas Athens Hospital, Athens, TX340.0954not cut
CHRISTUS Good Shepherd Medical Center, Longview, TX35−0.5663not cut
Longview Regional Medical Center, Longview, TX35−0.6466not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1UT Health East Texas Tyler Regional HospitalTyler, TXunder 10.2332No cut$0Above the national median on 4 of 6 measures
2Baylor Scott & White Texas Spine & Joint HospitalTyler, TXunder 1−0.9572No cut$0Above the national median on 0 of 3 measures
3University of Texas Health Science Center at TylerTyler, TX7−0.8903No cut$0Above the national median on 0 of 2 measures
4UT Health East Texas Jacksonville HospitalJacksonville, TX26−0.4424No cut$0Above the national median on 0 of 2 measures
5UT Health East Texas Henderson HospitalHenderson, TX32−0.4306No cut$0Above the national median on 2 of 3 measures
6UT Health East Texas Athens HospitalAthens, TX340.0954No cut$0Above the national median on 2 of 6 measures
7CHRISTUS Good Shepherd Medical CenterLongview, TX35−0.5663No cut$0Above the national median on 2 of 6 measures
8Longview Regional Medical CenterLongview, TX35−0.6466No cut$0Above the national median on 1 of 6 measures

Download all hospitals’ data (CSV) · Data dictionary · CMS’s dataset page

How the program works, and how to find another hospital

A penalty reflects how CMS’s formula scored relative performance; it is not a verdict on the quality of care.

Cite this page

Paid & Penalized. CHRISTUS Mother Frances Hospital, Tyler, TX: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/450102/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.